Organization Active NPI

Eickhoff Chiropractic and Nutrition

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1003296963
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00724400 Issued in NJ
Legal business name
EICKHOFF CHIROPRACTIC AND NUTRITION
Practice address
1011 Clifton Ave
Clifton, NJ 07013-3518
Phone
(973) 470-0687
Fax
(973) 470-0862
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kayla Ann Aversa, D.C.
Title
Chiropractor
Phone
(315) 404-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00724400 NJ Primary

Addresses

Primary practice location

1011 Clifton Ave
Clifton, NJ 07013-3518

Mailing address

111 Passaic Ave
Apt A7
Nutley, NJ 07110-3818
Phone (315) 404-8190

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1003296963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PASSAIC AVE",
            "address_2": "APT A7",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103818",
            "telephone_number": "315-404-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133518",
            "telephone_number": "973-470-0687",
            "fax_number": "973-470-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICKHOFF CHIROPRACTIC AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "AVERSA",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "315-404-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00724400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.